<?xml version="1.0"?>

<!--
SPDX-FileCopyrightText: 2008-2026 Luis Falcón <falcon@gnuhealth.org>
SPDX-FileCopyrightText: 2011-2026 GNU Solidario <health@gnusolidario.org>

SPDX-License-Identifier: GPL-3.0-or-later
-->

<form>
    <field name="evaluation_date"/>
    <field name="evaluation_date"/>
    <label name="cage_c"/>
    <field name="cage_c"/>
    <label name="cage_a"/>
    <field name="cage_a"/>
    <label name="cage_g"/>
    <field name="cage_g"/>
    <label name="cage_e"/>
    <field name="cage_e"/>
    <label name="cage_score"/>
    <field name="cage_score"/>
</form>
